Center for Excellence in Primary Care, University of California, San Francisco, California
Family Medicine, University of California, Irvine, California.
Ann Fam Med. 2018 Jul;16(4):359-360. doi: 10.1370/afm.2267.
The number of physicians seeing patients part time is growing, an evolution that challenges the primary care pillars of continuity and access. The growth of part-time practice is a response to burnout and to the pressures facing primary care physicians. Physicians who work fewer clinical hours and thereby reduce burnout are more satisfied with their careers, less likely to leave their jobs, and provide a better patient experience. Primary care practices can make a number of adjustments to optimize continuity and access in this era of part-time practice. Moreover, physicians who work fewer clinical hours are equally capable of fostering trusting relationships with patients as physicians seeing patients full time.
兼职看诊的医师人数正在增加,这种演变挑战了基层医疗的连续性和可及性这两个支柱。兼职行医的增长是对倦怠和基层医疗医师所面临压力的一种回应。减少临床工作时间从而降低倦怠感的医生对自己的职业生涯更满意,离职的可能性更小,并且为患者提供更好的就医体验。在兼职行医的时代,基层医疗实践可以做出许多调整,以优化连续性和可及性。此外,工作时间较少的医生同样能够与患者建立信任关系,就像全职看诊的医生一样。